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General NPI Number Information
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NPI Number | 1497219000
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Entity Type | Organization
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Legal Business Name | STAMFORD SPINE, LLC
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 1177 SUMMER ST FL 2
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City | STAMFORD
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State | CT
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Zip | 06905-5522
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Country | US
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Telephone | 203-580-3232
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Fax | 203-774-9898
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Provider Business Mailing Address
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Address Line | 1177 SUMMER ST FL 2
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City | STAMFORD
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State | CT
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Zip | 06905-5522
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Country | US
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Telephone | 203-580-3232
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Fax | 203-774-9898
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Authorized Official
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Title or Position | MEMBER
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Name | DR. BRIAN MARTIN MURPHY
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Credential | DC
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Telephone | 203-246-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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